Individual
MARIE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607
(312) 633-4977
(312) 850-9095
Mailing address
140 N ASHLAND AVE, CHICAGO, IL 60607
(312) 633-4977
(312) 850-9095
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
041145393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041145393
—
IL
Enumeration date
10/17/2019
Last updated
10/17/2019
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